Please complete this form to order a Wheelie bin
By completing this form you will be charged a $20 signup fee.
Signup Here
 
What's your Full name? *

This is a legal document please put your first and last name
 
What is your Address? *

Please include your Street and Town
 
What is your Phone number? *

 
How Often do you want your bin collected? *

We HIRE 240L wheelie bins that are collected weekly ($10), fortnightly ($14), monthly ($18) or 120L wheelie bins that are collected fortnightly ($13).  The cost is per collection and must be a minimum of one in advance.  If you live in Ashhurst and want a weekly collection you will be given two bins as we are only there fortnightly.  An extra fee of $5 will apply for this service.




 
Do you want to Recycle? *

This is for Horowhenua and Kapiti customers only.  This service is $50 per year
     
 
I Agree to: *

1. Pay the signup fee of $20
2. Setup an Automatic Payment
3. Keep my account one payment  in advance
4. Ensure my payments are made by the Friday prior to collection
     
 
I have read and accept the TERMS OF SERVICE of Lucy's Bins *

All unpaid accounts will be sent to debt collection and you will be liable for all collection costs as per these terms or service (www.lucysbins.co.nz/tos)
     
 
How did you Find us? *

 
Notes?

Please let us know if there are any reasons that may prevent us from collecting your bin e.g dogs, opening hours, gates etc
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